| NPI | 1164918611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON GRIFFIN Dentist/Owner 970-568-5255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CO 00203511) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-07-09 |