| NPI | 1245607464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE WILLIAM BARNES Owner/Dentist 719-636-1246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 5927) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |