Individual
DR. JORDAN G RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
51 DAVID DR, PAGOSA SPRINGS, CO 81147-9440
(970) 731-3627
(970) 731-2395
Mailing address
51 DAVID DR, PAGOSA SPRINGS, CO 81147-9440
(970) 731-3627
(970) 731-2395
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN-9457
CO
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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