NPI | 1194101964 |
---|---|
Doing Business As | ADVENTURE DENTAL AND VISION |
Entity Type | Organization |
Authorized Contact | RONALD B MONTANO Dentist/Owner 719-576-1850 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
Enumeration Date | 2015-08-04 |
Last Update Date | 2020-11-23 |