| NPI | 1194832741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LYNNE BECKER Owner 303-794-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: CO 8491) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-08-22 |