Organization
JENNY D FILTER DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNY D FILTER DDS (OWNER PC)
(719) 539-6142
Entity
Organization
Contact information
Practice address
427 E 1ST ST, SALIDA, CO 81201-2803
(719) 539-6142
(719) 539-6186
Mailing address
427 E 1ST ST, SALIDA, CO 81201-2803
(719) 539-6142
(719) 539-6186
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7143
CO
124Q00000X
Dental Hygienist
0000200079
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16858247
—
CO
Enumeration date
05/23/2014
Last updated
05/23/2014
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