Individual
HEIDI WINQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3400 PENROSE PL. STE. 201, BOULDER, CO 80301
(303) 440-7538
Mailing address
829 N. HOOVER, LOUISVILLE, CO 80027
(303) 604-6793
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7107
CO
Other
Enumeration date
03/16/2006
Last updated
01/22/2009
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