Organization
SOUTH GREELEY, PROF. LLC
Active
Other names
Comfort Dental South Greeley
Organization subpart
No
Provider details
NPI number
Authorized official
JARUM BOYER DMD (DENTIST/OWNER)
(970) 673-4310
Entity
Organization
Contact information
Practice address
2716 11TH AVE, GREELEY, CO 80631-8443
(970) 673-4310
Mailing address
2716 11TH AVE, GREELEY, CO 80631-8443
(970) 673-4310
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10437
CO
122300000X
Dentist
10703
CO
122300000X
Dentist
Primary
9766
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063555043
NPI
CO
01
—
1285814772
NPI
CO
01
—
1720371404
NPI
CO
05
—
49032551
—
CO
05
—
49305832
—
CO
05
—
50472721
—
CO
Enumeration date
02/13/2018
Last updated
02/13/2018
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