Individual
PAUL A SICA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2601 BROADWAY ST, BOULDER, CO 80304-3541
(303) 447-1042
(303) 545-5105
Mailing address
2601 BROADWAY ST, BOULDER, CO 80304-3541
(303) 447-1042
(303) 545-5105
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7809
CO
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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