| NPI | 1265040901 |
|---|---|
| Doing Business As | G-DENTAL32 |
| Entity Type | Organization |
| Authorized Contact | EMERI GRADO Owner 303-519-4945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |