NPI | 1215688338 |
---|---|
Doing Business As | RANGEWOOD DENTAL |
Entity Type | Organization |
Authorized Contact | DANIEL R SKAGGS Owner 719-434-5800 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-01-11 |
Last Update Date | 2024-06-20 |