| NPI | 1083729636 |
|---|---|
| Doing Business As | LOUISVILLE DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | CHUCK W SKINNER Partner 303-665-7505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO 9319) |
| Additional Taxonomies | 122300000X Dentist (Licence: CO 63) |
| 122300000X Dentist (Licence: CO 104857) | |
| 122300000X Dentist (Licence: CO 10679) | |
| 122300000X Dentist (Licence: CO 10691) | |
| 122300000X Dentist (Licence: CO 10514) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2012-05-03 |