| NPI | 1033407846 |
|---|---|
| Doing Business As | ADVENTURE DENTAL, VISION AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | SHAUN URBANOZO Credentialing Manager 719-323-2362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2019-10-21 |