Individual
KELVIN JON WEBSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
314 W BIJOU AVE, FORT MORGAN, CO 80701-2331
(970) 687-2288
Mailing address
314 W BIJOU AVE, FORT MORGAN, CO 80701-2331
(970) 687-2288
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN-106341
CO
Other
Enumeration date
01/24/2007
Last updated
08/20/2008
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