Individual
DR. JONATHAN B SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3093 BROADWAY ST, BOULDER, CO 80304-3151
(303) 442-4437
(303) 442-4921
Mailing address
3093 BROADWAY ST, BOULDER, CO 80304-3151
(303) 442-4437
(303) 442-4921
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
202990
CO
Other
Enumeration date
07/11/2013
Last updated
12/20/2016
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