Organization
WS BOULDER RD DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL G HILL DDS (OWNER)
(720) 625-1968
Entity
Organization
Contact information
Practice address
625 HOLLY DR, STERLING, CO 80751-4539
(970) 522-5454
(970) 522-5454
Mailing address
625 HOLLY DR, STERLING, CO 80751-4539
(970) 522-5454
(970) 522-5454
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7990
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
463691741
PROFESSIONAL DENTAL GROUP
CO
05
—
67402577
—
CO
Enumeration date
09/22/2014
Last updated
09/22/2014
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