| NPI | 1093301046 |
|---|---|
| Other Name | ORAL FITNESS DENTAL CLUB |
| Entity Type | Organization |
| Authorized Contact | DALE AUDREY UNGAR CEO 303-728-9746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2020-12-14 |