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Individual

DR. JACOB BEUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
330 MAIN ST, CANON CITY, CO 81212-3732
(719) 275-3255
(719) 275-3863
Mailing address
330 MAIN ST, CANON CITY, CO 81212-3732
(719) 275-3255
(719) 275-3863

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
6184711-9922
UT
1223G0001X
General Practice Dentistry
Primary
DEN.00202758
CO

Other

Enumeration date
06/30/2015
Last updated
01/04/2023
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