Individual
DR. JARVIS EDWARD HANSFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
715 CEDAR ST., BUENA VISTA, CO 81211-0790
(719) 395-2402
Mailing address
PO BOX 790, BUENA VISTA, CO 81211-0790
(719) 395-2402
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
104509
CO
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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