| NPI | 1194725903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIE CAROL BROWN Owner 303-755-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 7697) |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2020-08-22 |