NPI | 1164018081 |
---|---|
Entity Type | Organization |
Authorized Contact | CHEREE JUBIN Practice Manager 303-768-8570 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2020-12-15 |
Last Update Date | 2020-12-15 |