Individual
DR. JASON JAMES ATHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
350 BROADWAY ST, SUITE 10, BOULDER, CO 80305-3343
(303) 494-8200
(303) 494-2281
Mailing address
11132 CHASE WAY, WESTMINSTER, CO 80020-3285
(303) 484-8581
(303) 494-2281
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8512
CO
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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