| NPI | 1073765301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY LEE KNOWLTON Dentist 719-564-5833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO DEN9242) |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2022-01-11 |