Individual
DR. WILLIAM PATRICK MISISCHIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
350 BROADWAY ST STE 130, BOULDER, CO 80305-3396
(034) 490-4103
(303) 449-0470
Mailing address
350 BROADWAY ST STE 130, BOULDER, CO 80305-3396
(034) 490-4103
(303) 449-0470
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
9827
CO
Other
Enumeration date
08/02/2011
Last updated
11/05/2024
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