Organization
EXPERIENCE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY RICHARD ALTDORFER DDS (CEO)
(720) 645-1226
Entity
Organization
Contact information
Practice address
1933 28TH ST STE 204, BOULDER, CO 80301-1100
(720) 645-1226
Mailing address
1933 28TH ST STE 204, BOULDER, CO 80301-1100
(720) 645-1226
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/23/2019
Last updated
06/15/2026
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