Individual
JEFF THOMAS MARLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
290 E AGATE AVENUE, GRANBY, CO 80446
(970) 887-3832
(970) 887-3925
Mailing address
PO BOX 1070, GRANBY, CO 80446-1070
(970) 887-3832
(970) 887-3925
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN.00203686
CO
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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