| NPI | 1013256874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN THOMAS LEARY Partner 303-673-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CO 10480) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: CO 9872) |
| 1223G0001X Dentist General Practice (Licence: CO 9487) | |
| 1223G0001X Dentist General Practice (Licence: CO 10069) | |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2023-09-26 |