NPI | 1275873549 |
---|---|
Doing Business As | ADVENTURE DENTAL, VISION AND ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | SHAUN URBANOZO Credentialing Manager 719-323-2362 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2013-02-25 |
Last Update Date | 2020-11-19 |