| Kit W Haddow | |
|
1910 N 12th St Ste C Grand Junction CO 81501-2934 | |
| (970) 245-2990 | |
| (970) 242-7924 |
| Full Name | Kit W Haddow |
|---|---|
| Speciality | Dentist |
| Location | 1910 N 12th St Ste C, Grand Junction, Colorado |
| Authorized Official Name and Position | Kit W Haddow (DENTIST) |
| Authorized Official Contact | 9702452990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kit W Haddow 1910 N 12th St Ste C Grand Junction CO 81501-2934 Ph: (970) 245-2990 | Kit W Haddow 1910 N 12th St Ste C Grand Junction CO 81501-2934 Ph: (970) 245-2990 |
| NPI Number | 1225562960 |
|---|---|
| Provider Enumeration Date | 04/19/2017 |
| Last Update Date | 04/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225562960 | NPI | - | NPPES |
| 02049690 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 104969 (Colorado) | Primary |
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› Verified 6 days ago
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