| NPI | 1013382183 |
|---|---|
| Doing Business As | ADVENTURE DENTAL VISION AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | SAMANTHA B LEBLANC Credentialing Specialist 719-323-2372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 152W00000X Optometrist |
| 152W00000X Optometrist (Licence: CO OPT0001462) | |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2021-04-29 |