Organization
JANA A. IKEDA, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANA IKEDA (PRESIDENT/DENTIST)
(303) 499-0558
Entity
Organization
Contact information
Practice address
805 S BROADWAY ST STE 210, BOULDER, CO 80305-5972
(303) 499-0558
Mailing address
805 S BROADWAY ST STE 210, BOULDER, CO 80305-5972
(303) 499-0558
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7636
CO
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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