| NPI | 1104283902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA FARBOD General Dentist 303-752-2226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO 10529) |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2016-01-25 |