| NPI | 1235933144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE DIANE GUERRA Owner 719-374-5496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2025-04-01 |