| NPI | 1093196362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYLOUISE GARCIA Office Manager 303-364-6659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO 7020) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2015-06-12 |