DR. Jonathan James Haerter, DDS

NPI #1235321589 in Basalt, Colorado

Provider Information

NPI Number: 1235321589
Entity Type: Individual
Name: DR. Jonathan James Haerter, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 10, 2007
Last Updated: Apr 29, 2019

Practice Location

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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