| NPI | 1225485873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEMIRAMIDA CONDOIANIS Dentist 720-596-4760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 00010276) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2016-05-24 |