| NPI | 1265067425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA ROMANOVNA KOGAN CEO 303-506-4698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health |
| 251K00000X Public Health or Welfare | |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-03-09 |