NPI | 1104380443 |
---|---|
Doing Business As | LOTUS FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | YUKI RAY DYKES President/Owner 303-690-0800 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2019-01-30 |
Last Update Date | 2019-01-30 |