| NPI | 1043813462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET OTOOLE Administrative Assistant 303-814-1335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2020-11-18 |