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 |