Organization
PRIYA UPPAL DDS PLLC
Active
Other names
Incredible Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRIYA UPPAL DDS (DENTIST)
(612) 532-0323
Entity
Organization
Contact information
Practice address
4150 DARLEY AVE STE 3, BOULDER, CO 80305-6537
(303) 499-0013
Mailing address
4150 DARLEY AVE STE 3, BOULDER, CO 80305-6537
(303) 499-0013
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720442148
NPI
—
Enumeration date
04/08/2022
Last updated
04/08/2022
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