Individual
MR. JAKE R ATWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2478 PATTERSON RD, UNIT 22, GRAND JUNCTION, CO 81505
(970) 241-2430
(970) 644-5144
Mailing address
2478 PATTERSON RD, UNIT 22, GRAND JUNCTION, CO 81505
(970) 241-2430
(970) 644-5144
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7134265-9921
UT
1223P0700X
Prosthodontics
Primary
00202230
CO
Other
Enumeration date
12/16/2008
Last updated
05/08/2018
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