| NPI | 1205201282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID G COLLINS Owner 303-986-9522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CO CO 7064) |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2015-12-02 |