| NPI | 1306393335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE BARBARA LAURENT CEO,Bus.Admin.,Dental Hygienist 970-445-8713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO 905139) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |