| NPI | 1205131430 |
|---|---|
| Doing Business As | ADVENTURE DENTAL, VISION AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE M SOUDER Credentialing Manager 719-323-2362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2020-11-23 |