Individual
DR. MARK JOSEPH BIRNBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1636 16TH ST, BOULDER, CO 80302
(303) 443-4417
(303) 443-1206
Mailing address
1636 16TH ST, BOULDER, CO 80302
(303) 443-4417
(303) 443-1206
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
721
CO
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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