| NPI | 1336352848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH B ALLEN President 970-221-1658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CO 8155) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |