| NPI | 1336382456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAROM LAMOREAUX Dentist 719-488-5981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 9419) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-04-20 |