JACK JUSTIN DAVIS

RIFLE, CO
NPI1235242652
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CO  104954)
Enumeration Date2006-08-17
Last Update Date2007-07-08
Business Address
Mr. JACK JUSTIN DAVIS DDS
543 WEST AVE
RIFLE, CO 81650-3553
Phone number: 970-625-1391
Mailing Address
Mr. JACK JUSTIN DAVIS DDS
543 WEST AVE
RIFLE, CO 81650-3553
Phone number: 970-625-1391
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