Organization
BOULDER ENDODONTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE BRUCE DOUGLAS D.D.S. (ENDODONTIST)
(303) 449-6621
Entity
Organization
Contact information
Practice address
3100 ARAPAHOE AVE, SUITE 300, BOULDER, CO 80303-1093
(303) 449-6621
(303) 413-9341
Mailing address
3100 ARAPAHOE AVE, SUITE 300, BOULDER, CO 80303-1093
(303) 449-6621
(303) 413-9341
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033117239
G. BRUCE DOUGLAS, D.D.S.
CO
01
—
1487652582
JOSEPH R. PARSONS, D.D.S.
CO
01
—
1740310788
BOULDER ENDODONTICS, PC
CO
Enumeration date
03/07/2007
Last updated
02/14/2008
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