NPI | 1144111766 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT J SKORETZ Dentist/Owner 720-883-5478 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2025-07-11 |
Last Update Date | 2025-08-21 |