NPI | 1225601461 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHY LANCASTER Administrative Assistant 970-945-6614 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Additional Taxonomies | 251K00000X Public Health or Welfare |
Enumeration Date | 2021-07-23 |
Last Update Date | 2024-04-08 |