NPI | 1124240775 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD PAUL SHERLOCK President Owner 303-420-1010 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CO 7284) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2020-08-22 |