Individual
JOHN MONTOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4770 BASELINE RD STE 310, BOULDER, CO 80303
(303) 443-1895
Mailing address
4770 BASELINE RD STE 310, BOULDER, CO 80303-2669
(303) 443-1895
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9350
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629239827
NPI
CO
Enumeration date
08/28/2008
Last updated
02/05/2019
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