Organization
KIT W HADDOW, DDS
Active
Parent organization
KIT W HADDO
Other names
KIT W HADDOW
Organization subpart
Yes
Provider details
NPI number
Legal business name
KIT W HADDO
Authorized official
DR. KIT W HADDOW DDS (DENTIST)
(970) 245-2990
Entity
Organization
Contact information
Practice address
1910 N 12TH ST STE C, GRAND JUNCTION, CO 81501-2934
(970) 245-2990
(970) 242-7924
Mailing address
1910 N 12TH ST STE C, GRAND JUNCTION, CO 81501-2934
(970) 245-2990
(970) 242-7924
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
104969
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02049690
—
CO
Enumeration date
04/19/2017
Last updated
04/19/2017
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