| NPI | 1043797749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE NICOLE SCHLEIGER Office Manager 970-356-5277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO DEN00202585) |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2018-07-25 |