| NPI | 1205089083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA CLETO AMBIDA President 303-790-8338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 7930) |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2008-10-27 |