NPI | 1205427895 |
---|---|
Doing Business As | OG DENTAL |
Entity Type | Organization |
Authorized Contact | SEAN OGRADY Dentist/CEO/Owner 720-551-6580 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-01-27 |
Last Update Date | 2021-01-27 |