| NPI | 1174610869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | R. BERYL HUNTER Doctor/Owner 303-840-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CO 7735, 36835) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |