Individual
DR. JAMES JACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13065 E 17TH AVE, AURORA, CO 80045-2532
(303) 724-7110
Mailing address
13065 E 17TH AVE, AURORA, CO 80045-2532
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
70
CO
Other
Enumeration date
07/23/2010
Last updated
07/23/2010
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