| NPI | 1285811224 | 
|---|---|
| Doing Business As | ADVENTURE DENTAL | 
| Entity Type | Organization | 
| Authorized Contact | SHAUN URBANOZO Credentialing Manager 719-323-2362  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice | 
| Enumeration Date | 2008-01-22 | 
| Last Update Date | 2019-10-22 |