| NPI | 1083848394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFAIYAZ IBRAHIM Owner 303-399-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO 9407) |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2009-05-14 |