| NPI | 1225541972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS KENT CHUBB Doctor 303-428-3613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 6848) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2017-11-15 |