| NPI | 1306385661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI BOWMAN-FALCE Consultant 970-231-1294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO DEN00007480) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-02-20 |