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Individual

DR. JONATHAN JAMES HAERTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
227 MIDLAND AVE STE C3, BASALT, CO 81621-8119
(970) 927-5437
Mailing address
227 MIDLAND AVE STE C3, BASALT, CO 81621-8119
(970) 927-5437

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8167
CO

Other

Enumeration date
08/10/2007
Last updated
04/29/2019
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