Individual
DR. JORDAN HUMBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7859 6TH ST, SUITE 150, WELLINGTON, CO 80549-1517
(970) 568-4442
Mailing address
7859 6TH ST, SUITE 150, WELLINGTON, CO 80549-1517
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN201788
CO
Other
Enumeration date
08/03/2012
Last updated
08/03/2012
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