NPI | 1013362276 |
---|---|
Doing Business As | WINDSOR FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | TYLER JAMES INGERSOLL President 970-686-1186 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CO 201837) |
Enumeration Date | 2016-04-25 |
Last Update Date | 2016-04-25 |