| NPI | 1255543393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE KIKUE FURUTA GRIFFITH Owner 303-623-5636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 8980) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2023-04-28 |