| NPI | 1023506433 |
|---|---|
| Doing Business As | BENCHMARK DENTAL OF GREELEY |
| Entity Type | Organization |
| Authorized Contact | SHAWN MICHAEL CUSTER Owner Doctor 402-669-4971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CO 00203394) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2021-09-10 |