| NPI | 1053579144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM M LOOK Dentist/Owner 719-392-3448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 6211) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |