| NPI | 1104285022 |
|---|---|
| Doing Business As | COMFORT DENTAL WEST AVENUE |
| Entity Type | Organization |
| Authorized Contact | APRIL LYNN SOUSA Dentist 303-888-4582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 21739) |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2016-02-19 |