Organization
BOULDER ORAL SURGERY
Active
Organization
BOULDER ORAL SURGERY
Active
Parent organization
TERRENCE NEDBALSKI DDS PLLC
Other names
Boulder Oral Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
TERRENCE NEDBALSKI DDS PLLC
Authorized official
DR. TERRENCE ROBERT NEDBALSKI DDS (OWNER)
(303) 447-9735
Entity
Organization
Contact information
Practice address
3450 PENROSE PL STE 120, BOULDER, CO 80301-1800
(303) 447-9735
(303) 447-9735
Mailing address
3450 PENROSE PL, SUITE 120, BOULDER, CO 80301-1800
(303) 447-9735
(303) 447-1025
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9410
CO
Other
Enumeration date
12/13/2017
Last updated
03/17/2018
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