Organization
BASALT DENTISTRY, PC
Active
Other names
Basalt Dentistry, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN JAMES HAERTER DDS (DENTIST/OWNER)
(970) 376-4769
Entity
Organization
Contact information
Practice address
227 MIDLAND AVE STE C3, BASALT, CO 81621-8119
(970) 927-5437
Mailing address
227 MIDLAND AVE STE C3, BASALT, CO 81621-8119
(970) 927-5437
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
04/29/2019
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