Individual
JESSICA BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9450 E MISSISSIPPI AVE UNIT A, DENVER, CO 80247-2427
(720) 463-2766
Mailing address
357 S BANNOCK ST UNIT 638, DENVER, CO 80223-2271
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00205180
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2022
Last updated
10/18/2023
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