Individual
DR. JONATHON SEDRICK JUNDT
Active
Individual
DR. JONATHON SEDRICK JUNDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0024657
TX
122300000X
Dentist
DEN.00202720
CO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0024657
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DR.0058466
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000162920
—
CO
Enumeration date
06/25/2009
Last updated
10/26/2022
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