| NPI | 1083113765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | D. MICHAEL TOBLER Owner 303-883-1748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO 9691) |
| Additional Taxonomies | 122300000X Dentist |
| 1223G0001X Dentist, General Practice | |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2018-02-07 |