NPI | 1003297029 |
---|---|
Doing Business As | WINDERMERE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | CLAIRE-MARIE FICSOR Cep 303-798-4571 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CO DEN00201899) |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CO DEN00201899) |
Enumeration Date | 2015-06-16 |
Last Update Date | 2015-06-16 |