Individual
BRETT JESSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10TH MEDICAL GROUP, 4102 PINION DRIVE, USAF ACADEMY, CO 80840
(801) 721-6846
Mailing address
10TH MEDICAL GROUP, 4102 PINION DRIVE, USAF ACADEMY, CO 80840
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DEN.00205787
CO
390200000X
Student in an Organized Health Care Education/Training Program
DEN.00205787
CO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
02/13/2016
Last updated
10/17/2023
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