| NPI | 1053441956 |
|---|---|
| Doing Business As | PRIMARY DENTAL |
| Entity Type | Organization |
| Authorized Contact | CHADWICK N WILLIAMSON Sole Owner 303-433-1239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2015-11-20 |