| NPI | 1245955962 |
|---|---|
| Doing Business As | SEALY DENTAL |
| Entity Type | Organization |
| Authorized Contact | SILAS CHARLES ERICKSON Credentialing Specialist 720-353-4903 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2022-10-05 |