| NPI | 1295038883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE MARIE HEDRICK Dentist 303-772-6333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO DEN9186) |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2010-12-21 |