Individual
DR. KELSEY VENEMAN BUMGARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
288 W PABOR AVE, FRUITA, CO 81521-2153
(970) 858-8484
(970) 858-6436
Mailing address
992 25 RD, GRAND JUNCTION, CO 81505-9667
(651) 216-4585
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00205357
CO
Other
Enumeration date
06/22/2018
Last updated
05/08/2024
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