| NPI | 1225576697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEWART A MOSS President 303-431-3090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CO 00000403) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-06 |