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Individual

DR. JASON E. MAINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.,M.S.

Contact information

Practice address
1331 E PROSPECT RD UNIT B1, FORT COLLINS, CO 80525-1367
(970) 482-4916
(970) 221-5424
Mailing address
2996 GINNALA DR, SUITE 101, LOVELAND, CO 80538-2701
(970) 461-1994
(970) 461-0809

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
8187
CO

Other

Enumeration date
10/11/2007
Last updated
10/11/2007
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