Most Relevant Information
Provider Data
| NPI Number: | 1003487125 |
| Provider Name: | LUKE VERNON DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | DEN.00204717 |
Most Important Dates
| Enumeration Date: | 07/09/2021 |
| Last Updated: | 07/09/2021 |
Provider Practice Location
2100 28TH ST UNIT 4F
BOULDER
CO
803011142
Practice Location Phone/Fax
| Phone: | 5747212039 |
| Fax: |
Provider Mailing Location
2100 28TH ST UNIT 4F
BOULDER
CO
803011142
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |