NPI | 1124681903 |
---|---|
Doing Business As | MILE HIGH DENTISTRY |
Entity Type | Organization |
Authorized Contact | MARK BRAASCH Owner 303-745-3182 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2019-04-17 |
Last Update Date | 2019-04-17 |