NPI | 1225447709 |
---|---|
Doing Business As | JAMBOREE DENTAL |
Entity Type | Organization |
Authorized Contact | MAGGI EVANS Sr. Credentialing Specialist 720-272-7558 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30019501) |
Enumeration Date | 2014-08-08 |
Last Update Date | 2025-02-28 |