| NPI | 1205871886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILBERT H. SYDNEY President 970-356-3717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 764) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2020-08-22 |