| NPI | 1245256643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY L BREWICK Owner 303-832-7789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 105046) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2007-10-17 |