| NPI | 1093837825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JOSEPH ISHLEY President 719-599-7665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CO 104824) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |