Individual
DR. JEREMY RICHARD ALTDORFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1933 28TH ST STE 204, BOULDER, CO 80301-1100
(720) 432-3885
Mailing address
1933 28TH ST STE 204, BOULDER, CO 80301-1100
(740) 706-0765
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN.00204109
CO
Other
Enumeration date
09/20/2019
Last updated
01/07/2021
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