| NPI | 1083026926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA DEANNA SWANKHOUSE Owner/President 303-935-6559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO 10476) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2014-05-27 |