NPI | 1043717382 |
---|---|
Doing Business As | FAMILY & COSMETIC DENTISTRY OF THE ROCKIES |
Entity Type | Organization |
Authorized Contact | TERESA VENEKAMP Office Manager 970-223-6101 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
Enumeration Date | 2018-04-12 |
Last Update Date | 2018-04-12 |