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 |