Organization
JENNIFER L UNGER WATERS DDS PC
Active
Other names
Clear Creek Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER UNGER WATERS DDS (PRESIDENT/OWNER)
(303) 279-6621
Entity
Organization
Contact information
Practice address
1600 WASHINGTON AVE, GOLDEN, CO 80401-1927
(303) 279-6621
(303) 216-0278
Mailing address
1600 WASHINGTON AVE, GOLDEN, CO 80401-1927
(303) 279-6621
(303) 216-0278
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
8005
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588647176
NPI
CO
Enumeration date
05/21/2007
Last updated
08/17/2018
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