| NPI | 1295125797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DEAN MOORE Dentist/Owner 970-769-6564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO DEN 00010004) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2021-07-07 |