Organization
JOHN MONTOYA DDS PC
Active
Other names
Boulder Dental Designs
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MONTOYA DDS (DENTIST/OWNER)
(303) 443-1895
Entity
Organization
Contact information
Practice address
4770 BASELINE RD, SUITE 310, BOULDER, CO 80303-2666
(303) 443-1895
(303) 442-2765
Mailing address
4770 BASELINE RD, SUITE 310, BOULDER, CO 80303-2666
(303) 443-1895
(303) 442-2765
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9350
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942458328
INDIVIDUAL NPI NUMBER
CO
Enumeration date
04/05/2016
Last updated
04/05/2016
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