NPI | 1205314762 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES TOLIVER CRAIG Owner 303-693-1215 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 9285) |
Enumeration Date | 2018-08-06 |
Last Update Date | 2018-08-06 |