NPI | 1295186708 |
---|---|
Doing Business As | COMFORT DENTAL ORAL SURGERY NORTHWEST |
Entity Type | Organization |
Authorized Contact | TREVOR GREGG JOHNSON Partner 303-865-7550 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CO 9701) |
Enumeration Date | 2016-06-27 |
Last Update Date | 2019-05-03 |