Individual
TERRENCE R NEDBALSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3450 PENROSE PL, STE #120, BOULDER, CO 80301-1828
(303) 447-9735
(303) 447-1025
Mailing address
3450 PENROSE PL, STE# 120, BOULDER, CO 80301-1828
(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
05/18/2007
Last updated
01/24/2011
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