| NPI | 1265696256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY J GALYARDT Partner 970-226-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 7988) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO 7635) |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2008-07-18 |