Basalt Dentistry, PC

NPI #1023589181 in Basalt, Colorado

Provider Information

NPI Number
1023589181
Entity Type
Organization
Organization Name
Basalt Dentistry, PC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Dec 16, 2018
Last Updated
Apr 29, 2019

Practice Location

Address
227 MIDLAND AVE STE C3
City
Basalt
ZIP Code
81621-8119
Phone
(970) 927-5437

Authorized Official

Name
DR. JONATHAN JAMES HAERTER, DDS
Title
DENTIST/OWNER
Phone
(970) 376-4769

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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