Individual
DR. JORDAN VAL KOFOED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
495 WEST 4TH STREET, DOVE CREEK, CO 81324
(970) 677-2291
Mailing address
PO BOX 576, DOVE CREEK, CO 81324-0576
(970) 677-2291
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00203268
CO
Other
Enumeration date
07/14/2017
Last updated
07/14/2017
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