| NPI | 1174700629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J. PURCELL Owner/Dentist 719-369-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO C07055) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2008-01-28 |