Organization
ELLIOTT B. HIGGINS D.M.D. P.C.
Active
Other names
Pearl Street Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIOTT B HIGGINS JR. D.M.D. (PRESIDENT)
(303) 443-3771
Entity
Organization
Contact information
Practice address
2575 PEARL ST, SUITE 200, BOULDER, CO 80302-3868
(303) 443-3177
(303) 443-3611
Mailing address
2575 PEARL ST, SUITE 200, BOULDER, CO 80302-3868
(303) 443-3177
(303) 443-3611
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
124Q00000X
Dental Hygienist
—
—
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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