| NPI | 1225564297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHON JUNDT Owner / Surgeon 720-990-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CO DEN.00202720) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |