| NPI | 1285808519 |
|---|---|
| Doing Business As | PINE CREEK DENTAL |
| Entity Type | Organization |
| Authorized Contact | BILL KNOERR THOMPSON Owner 719-268-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO 7811) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |