| NPI | 1063893295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE JUNG KIM Owner 303-513-7371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: AZ D9251) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2015-06-12 |