| NPI | 1104277482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK D CRANE Managing Partner 970-223-8687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: CO 8446) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2016-06-28 |