| NPI | 1154645588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DANIEL SCHLEICHER Owner 303-319-5465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO 8644) |
| Enumeration Date | 2010-03-14 |
| Last Update Date | 2010-03-14 |