| NPI | 1083166979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA STEVENS Owner/Manager 303-867-3701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CO DEN9649) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |