| NPI | 1235960394 |
|---|---|
| Former Legal Business Name | PARKER DENTAL IMPLANT AND SPECIALTY CENTER |
| Entity Type | Organization |
| Authorized Contact | RON BERGLOFF Business Partner 720-431-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-08-12 |