NPI | 1295089563 |
---|---|
Entity Type | Organization |
Authorized Contact | KELVIN DE JULIO Office Manager 303-309-0369 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CO 9692) |
Enumeration Date | 2012-11-07 |
Last Update Date | 2012-11-07 |