| NPI | 1154835528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY STEARNS Owner 303-429-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: CO 9091) |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2018-03-17 |