Organization
BISHOP AND TAKEMOTO DENTISTRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M BISHOP DDS (PRESIDENT)
(303) 440-4777
Entity
Organization
Contact information
Practice address
4840 RIVERBEND RD STE 200, BOULDER, CO 80301-2608
(303) 440-4777
Mailing address
4840 RIVERBEND RD STE 200, BOULDER, CO 80301-2608
(303) 440-4777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
105071
CO
Other
Enumeration date
06/08/2007
Last updated
08/22/2020
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