| NPI | 1225298920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA L DIAMOND Executive Director 303-863-0772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO DEN10544) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-16 |