| NPI | 1023510039 |
|---|---|
| Doing Business As | KEYSTONE DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | DANIEL DAVID LAMB Dentist/Owner 719-596-0212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2018-03-06 |