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Search › Colorado › 163WA0400X

Velvet Jackson

NPI 1619414422 · on the registry since 2017

Practice

Address
450 S Camino Del Rio Ste 102
Durango, CO 81301
Phone
(970) 828-3030
Fax
(970) 247-0221
Organisation at this address
Oak Family Dentistry
Life Span Therapy Llc
Oak Family Dentistry Llc
Denver Recovery Group Llc
High Country Optical, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
163WA0400X
163WA0400X
Also registered as
163W00000X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-01-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado