Individual
MR. CHRISTOPHER FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
350 BROADWAY ST STE 10, BOULDER, CO 80305-3300
(303) 494-8200
(303) 494-2281
Mailing address
1540 GROVE ST APT 3, BOULDER, CO 80302-6376
(303) 588-2468
(303) 494-2281
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9764
CO
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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