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Individual

DR. MICHAEL A BENTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1651 28TH ST, BOULDER, CO 80301-1001
(303) 449-8783
(303) 449-8784
Mailing address
1651 28TH ST, BOULDER, CO 80301-1001
(303) 449-8783
(303) 449-8784

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
104115
CO

Other

Enumeration date
05/24/2005
Last updated
09/22/2016
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