| NPI | 1316472079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIANCA ELIZABETH HERNANDEZ Office Manager 303-738-8826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO 10138) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2017-05-01 |