| NPI | 1164803276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG A MELLOR Pc Owner 303-209-2250 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CO 105734) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2015-06-15 |