| NPI | 1114078094 |
|---|---|
| Doing Business As | GRAND VALLEY FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | DONALD MILONI Business Owner 303-744-3007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO 8541) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO 8541) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |