NPI | 1013697150 |
---|---|
Doing Business As | IMPLANT & GENERAL DENTISTRY OF NORTHERN COLORADO |
Entity Type | Organization |
Authorized Contact | HILLARY THULL Credentialing Coordinator 217-540-8946 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-07-24 |
Last Update Date | 2023-07-24 |