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Individual

STEPHEN R HUMPHREY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
10001 N WASHINGTON ST, THORNTON, CO 80229-2050
(303) 452-2053
Mailing address
10001 N WASHINGTON ST, THORNTON, CO 80229-2050
(303) 452-2053

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
105657
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02105658
CO
Enumeration date
02/10/2006
Last updated
07/08/2007
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