Jmj III
NPI #1083071047 in Woodland Park, Colorado
Provider Information
- NPI Number
- 1083071047
- Entity Type
- Organization
- Organization Name
- Jmj III
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 21, 2016
- Last Updated
- Jan 21, 2016
Practice Location
- Address
- 491 FOREST EDGE RD
- City
- Woodland Park
- State
- Colorado
- ZIP Code
- 80863-2499
- Phone
- (719) 687-6366
Authorized Official
- Name
- MRS. RUTH G BISHOP
- Title
- OFFICE MANAGER
- Phone
- (719) 687-6366
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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