| NPI | 1104127695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY KLUENDER Associate Dean Of Academic Affairs 303-724-7124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO 200936) |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2010-11-15 |