Individual
DR. RONALD WILLIAM JAQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5031 S FEDERAL BLVD STE 4, ENGLEWOOD, CO 80110-6368
(303) 795-3517
(303) 703-9651
Mailing address
5031 S FEDERAL BLVD STE 4, ENGLEWOOD, CO 80110-6368
(303) 795-3517
(303) 703-9651
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
375
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02003754
—
CO
Enumeration date
08/31/2006
Last updated
07/09/2007
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