| NPI | 1205237567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL R DODSWORTH Owner 970-240-2420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CO 00006440) |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2014-09-05 |