Individual
DR. HANAA JEBRIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
230 PARK AVE, FORT LUPTON, CO 80621-1928
(303) 857-2258
Mailing address
230 PARK AVE, FORT LUPTON, CO 80621-1928
(303) 857-2258
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7249
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29781035
—
CO
Enumeration date
07/15/2006
Last updated
10/11/2011
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