| NPI | 1265892319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED RIGBY President 719-596-3939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO DEN8692) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO DEN2481) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-04-19 |