NPI | 1023257326 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT D MADDEN Owner 303-973-5859 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 104739) |
Enumeration Date | 2009-02-10 |
Last Update Date | 2009-12-07 |