Individual
DR. JAMES BRADLEY MONK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
805 S BROADWAY ST STE 205, BOULDER, CO 80305-5972
(303) 543-7615
(303) 543-8432
Mailing address
805 S BROADWAY ST STE 205, BOULDER, CO 80305-5972
(303) 543-7615
(303) 543-8432
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
H-D-1-05670
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02056703
—
CO
Enumeration date
05/07/2008
Last updated
05/07/2008
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