NPI | 1013448034 |
---|---|
Doing Business As | KOALA CENTER FOR SLEEP DISORDERS CO1 |
Entity Type | Organization |
Authorized Contact | KEVIN SHAWN BERRY Doctor Of Dental Surgery 303-691-0267 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CO 7991) |
Enumeration Date | 2017-03-22 |
Last Update Date | 2017-03-22 |