| NPI | 1003994989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT KEYES TOWNSEND JR Owner 719-528-7022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-06-11 |