Organization
MIKE CARPENTER, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA LUEHRS (BILLING SPECIALIST)
(303) 443-1703
Entity
Organization
Contact information
Practice address
3093 BROADWAY ST, BOULDER, CO 80304-3151
(303) 443-1703
Mailing address
3093 BROADWAY ST, BOULDER, CO 80304-3151
(303) 443-1703
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9586
CO
Other
Enumeration date
03/10/2015
Last updated
03/10/2015
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