NPI | 1255939963 |
---|---|
Entity Type | Organization |
Authorized Contact | BARBARA TAFOYA Finance Administrator 303-450-3690 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD0000X Clinic/Center Dental |
Additional Taxonomies | 126800000X Dental Assistant |
Enumeration Date | 2020-10-14 |
Last Update Date | 2020-10-14 |