| NPI | 1174768998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY JAMES HUNTER Owner 970-424-5014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CO 9348) |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2008-12-08 |