| NPI | 1295902054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE N MILLER Office Manager 303-233-1354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO 0576) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2008-05-12 |