| NPI | 1013573815 |
|---|---|
| Doing Business As | CHERRY CREEK DENTAL IMPLANT |
| Entity Type | Organization |
| Authorized Contact | SCOTT GENE FERGUSON Owner 303-333-1844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223P0300X Dentist, Periodontics | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2019-05-16 |