Organization
BOULDER MODERN DENTISTRY, LLP
Active
Other names
Boulder Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM J MCGLASHAN DDS (CONTRACTS ADMIN)
(303) 442-4455
Entity
Organization
Contact information
Practice address
2100 28TH ST STE 4F, BOULDER, CO 80301-1106
(303) 442-4455
(303) 443-0972
Mailing address
2860 MICHELLE FL 2, IRVINE, CA 92606-1008
(714) 368-2077
(714) 368-2092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/30/2010
Last updated
07/30/2010
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