Individual
DR. JARED E CHISHOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2502 HWY 6 AND 50, SUITE 700, GRAND JUNCTION, CO 81505-4501
(970) 241-2080
(970) 241-5817
Mailing address
2502 HWY 6 AND 50, SUITE 700, GRAND JUNCTION, CO 81505-4501
(970) 241-2080
(970) 241-5817
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00202335
CO
1223G0001X
General Practice Dentistry
4748608
UT
Other
Enumeration date
11/08/2006
Last updated
10/15/2014
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