| NPI | 1205375946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA DOLORES MILNER Managing Member 719-351-0524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO 2638) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |