Individual
JESSE FRIEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3000 CENTER GREEN DR, SUITE 215, BOULDER, CO 80301-2364
(303) 442-6142
(303) 443-6163
Mailing address
3000 CENTER GREEN DR, SUITE 215, BOULDER, CO 80301-2364
(303) 442-6142
(303) 443-6163
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10697
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/17/2011
Last updated
03/02/2015
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