| NPI | 1215276944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFTON CORY SPEAKS Managing Member 720-496-3335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO 9291) |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2013-01-31 |