| NPI | 1033379052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY B. CALDWELL President 719-574-3240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO 105653) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2008-06-12 |