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Individual

DR. JONATHON SEDRICK JUNDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, DDS

Contact information

Practice address
28000 MEADOW DR UNIT 110, EVERGREEN, CO 80439-8467
(720) 990-5500
(720) 990-5501
Mailing address
28000 MEADOW DR UNIT 110, EVERGREEN, CO 80439-8467
(720) 990-5500
(720) 990-5501

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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