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Organization

BOULDER ORTHODONTICS

Active
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Organization

BOULDER ORTHODONTICS

Active
Parent organization
BOULDER ORTHODONTICS
Other names
Firestone Orthodontics
Organization subpart
Yes

Provider details

NPI number
Legal business name
BOULDER ORTHODONTICS
Authorized official
DR. JAMON VERL JENSEN (OWNER)
(303) 833-0310
Entity
Organization

Contact information

Practice address
704 1ST ST, FIRESTONE, CO 80520-5006
(303) 833-0310
Mailing address
2710 PEARL ST, BOULDER, CO 80302-3814
(303) 449-3250
(303) 449-1693

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Enumeration date
07/14/2021
Last updated
07/14/2021
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