| NPI | 1184016172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER AUGUSTINE MCINTYRE Owner/Dentist 719-475-2511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 106239) |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2015-02-27 |