Individual
STEPHEN MICHAEL PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2525 28TH ST UNIT 140, BOULDER, CO 80301-1255
(303) 443-0070
(303) 443-0073
Mailing address
2525 28TH ST UNIT 140, BOULDER, CO 80301-1255
(303) 443-0070
(303) 443-0073
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
579
CO
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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