| NPI | 1043600166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS THOMASSON Owner/Dentist 303-400-4865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 104348) |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2015-01-27 |