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Individual

DR. JAMES RICHARD OTTEM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
49030 STATE HWY 71, LIMON, CO 80826-0001
(719) 775-7666
Mailing address
49030 STATE HWY 71, LIMON, CO 80826-0001
(719) 775-7666

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00104436
CO

Other

Enumeration date
05/14/2018
Last updated
05/14/2018
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