Individual
CODY BOALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3470 CENTENNIAL BLVD STE 200, COLORADO SPRINGS, CO 80907-8669
(719) 301-6604
Mailing address
3470 CENTENNIAL BLVD STE 200, COLORADO SPRINGS, CO 80907-8669
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN.00202847
CO
Other
Enumeration date
07/05/2016
Last updated
06/28/2023
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