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Individual

JAMES BRANDON MATHIAS LUTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
3450 PENROSE PL STE 120, BOULDER, CO 80301-1800
(303) 447-9735
(303) 447-1025
Mailing address
3450 PENROSE PL STE 120, BOULDER, CO 80301-1800
(303) 447-9735
(303) 447-1025

Taxonomy

Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
202860
CO

Other

Enumeration date
04/10/2014
Last updated
06/11/2021
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