| NPI | 1033245543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD A CONCIALDI President And Owner 719-545-3070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO HD 100342) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2007-09-11 |