Individual
DR. REY GABRIEL BONJE CARANDANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3216 ARAPAHOE AVE, BOULDER, CO 80303-1043
(303) 442-5000
Mailing address
1273 TRAIL RIDGE RD, LONGMONT, CO 80504-8764
(720) 804-9440
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN.00205600
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2023
Last updated
06/05/2023
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