| NPI | 1316382682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTA SUE BUTLER-BEARZI Owner/Sole Proprietor 719-836-0967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO 200621) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2013-05-03 |