NPI | 1144608282 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW RICHARD STUBBS )Wner 303-594-4621 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO DEN10252) |
Enumeration Date | 2015-05-08 |
Last Update Date | 2015-05-08 |