Individual
DR. SHRADDHA KULKARNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
4150 DARLEY AVE STE 1, BOULDER, CO 80305-6537
(303) 494-1550
Mailing address
4150 DARLEY AVE STE 1, BOULDER, CO 80305-6537
(303) 494-1550
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00205125
CO
1223G0001X
General Practice Dentistry
10507
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10507
KENTUCKY DENTAL LICENSE NUMBER
KY
Enumeration date
07/27/2020
Last updated
08/25/2022
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