| NPI | 1326278367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN WATTS CARPENTER Dentist/Owner 303-617-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CO 8466) |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2009-07-24 |