Individual
DR. ADAM KWIATKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1200 28TH ST STE 300, BOULDER, CO 80303-1756
(303) 417-1644
(303) 417-1790
Mailing address
1200 28TH ST STE 300, BOULDER, CO 80303-1756
(303) 417-1644
(303) 417-1790
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
00204396
CO
1223G0001X
General Practice Dentistry
Primary
00204396
CO
Other
Enumeration date
08/13/2020
Last updated
06/22/2023
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