| NPI | 1194957415 |
|---|---|
| Doing Business As | SOUTHGLENN MODERN DENTISRTY |
| Entity Type | Organization |
| Authorized Contact | CHARLES F RODGERS Dds 303-730-3910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2009-08-20 |