Individual
JAKE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7471 SUN PRAIRIE DR, COLORADO SPRINGS, CO 80925-9606
(385) 335-0928
Mailing address
7471 SUN PRAIRIE DR, COLORADO SPRINGS, CO 80925-9606
(385) 335-0928
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00202232
CO
Other
Enumeration date
08/01/2014
Last updated
08/01/2014
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