Organization
LAYCOCK DENTISTRY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN W LAYCOCK (OWNER)
(303) 494-1550
Entity
Organization
Contact information
Practice address
4150 DARLEY AVE, SUITE 7, BOULDER, CO 80305-6557
(303) 494-1550
Mailing address
4150 DARLEY AVE, SUITE 7, BOULDER, CO 80305-6557
(303) 494-1550
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7068
TX
Other
Enumeration date
07/25/2011
Last updated
07/25/2011
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