Organization
JMJ III
Active
Parent organization
JMJ III
Other names
Forest Edge Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
JMJ III
Authorized official
RUTH BISHOP (OFFICE MANAGER)
(719) 687-6366
Entity
Organization
Contact information
Practice address
1101 COUNTY RD 1, CRIPPLE CREEK, CO 80813-8081
(719) 689-3565
(719) 689-0153
Mailing address
1101 COUNTY ROAD 1, CRIPPLE CREEK, CO 80813
(719) 689-3565
(719) 689-0153
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2481
CO
Other
Enumeration date
07/05/2017
Last updated
07/05/2017
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