Individual
DR. JASON MICHAEL BIENIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
410 20TH ST, GLENWOOD SPRINGS, CO 81601-4503
(970) 309-6127
Mailing address
410 20TH ST, GLENWOOD SPRINGS, CO 81601-4271
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
NC 8598
NC
Other
Enumeration date
05/03/2011
Last updated
05/03/2011
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