| NPI | 1245332360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN WAYNE WILKMAN President 303-444-1813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 864) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2020-08-22 |