| NPI | 1144289885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R ROYAL Dentist Owner 719-955-4023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 8463) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2022-07-21 |