Individual
MR. JAKE ROBERT HAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9579 S UNIVERSITY BLVD UNIT 400A, HIGHLANDS RANCH, CO 80126-8122
(303) 683-5091
Mailing address
6833 S IVY WAY APT 205, ENGLEWOOD, CO 80112-1094
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00204411
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2020
Last updated
07/06/2020
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