| NPI | 1023642436 |
|---|---|
| Doing Business As | ELEVATION FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | JUDD MCKAY CHAMBERLAIN President 970-424-2176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2023-10-16 |