| NPI | 1144775230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL C MADLOCK Surgeon/Owner 303-215-9944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CO DEN.00009486) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2016-08-18 |