| NPI | 1205215548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANNA PURINSH President 719-633-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO CO104568) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2015-05-19 |