NPI | 1114399888 |
---|---|
Doing Business As | FOUR SEASONS DENTAL CARE |
Entity Type | Organization |
Authorized Contact | BRADY SEFCIK Dds 719-383-2083 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2015-10-21 |
Last Update Date | 2015-12-09 |