Individual
BRETT BRODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
777 29TH ST STE 300, BOULDER, CO 80303-2316
(303) 442-6141
Mailing address
777 29TH ST STE 300, BOULDER, CO 80303-2316
(303) 442-6141
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
202255
CO
Other
Enumeration date
06/30/2014
Last updated
05/02/2023
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