| NPI | 1225328651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON TOPPEN GROVES Owner 720-244-3569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO 6620) |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other (Licence: CO 6620) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2011-04-19 |