NPI | 1225562960 |
---|---|
Doing Business As | KIT W HADDOW |
Entity Type | Organization |
Authorized Contact | KIT W HADDOW Dentist 970-245-2990 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: CO 104969) |
Enumeration Date | 2017-04-19 |
Last Update Date | 2017-04-19 |