Individual
DR. BRETT EDWARD AMEDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3400 PENROSE PL STE 105, BOULDER, CO 80301-1809
(303) 449-3131
(303) 449-9487
Mailing address
3400 PENROSE PL STE 105, BOULDER, CO 80301-1809
(303) 449-3131
(303) 449-9487
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00201917
CO
1223G0001X
General Practice Dentistry
00201917
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/02/2012
Last updated
11/16/2023
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