Individual
BRENT ERIC HAVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1045 E. STEWART, BLDG 1045 T, PETERSON AFB, CO 80914-1540
(719) 556-1333
Mailing address
559 VINCENT STREET, ATTN: 21 SGGD - DENTAL SQUADRON, PETERSON AFB, CO 80914-1540
(719) 556-1333
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5032-015
WI
122300000X
Dentist
Primary
7909
CO
Other
Enumeration date
01/10/2006
Last updated
03/13/2009
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