| NPI | 1124665401 |
|---|---|
| Doing Business As | ADVENTURE DENTAL, VISION AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | SHAUN URBANOZO Credentialing Manager 719-576-1850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2019-12-05 |