| NPI | 1073626040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J KELLOGG President 303-772-3313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 230) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2020-08-22 |