DR. Joseph Jack Widdison, DMD

NPI #1184839623 in Windsor, Colorado

Provider Information

NPI Number
1184839623
Entity Type
Individual
Name
DR. Joseph Jack Widdison, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DMD
Enumeration Date
May 10, 2007
Last Updated
Apr 6, 2015

Practice Location

Address
1555 MAIN ST
Address 2
SUITE A-2
ZIP Code
80550-5998
Phone
(970) 690-9823

Specialties & Taxonomy Codes

Specialty
Dentist

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