Individual
DR. RAYMOND CLINTON ROPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1900 FOLSOM ST, SUITE 202, BOULDER, CO 80302-5713
(303) 447-2281
Mailing address
1900 FOLSOM ST, SUITE 202, BOULDER, CO 80302-5713
(303) 447-2281
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5916
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5916
STATE LICENSE NUMBER
CO
Enumeration date
04/11/2007
Last updated
07/08/2007
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