| NPI | 1336574615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW B WEISENFELD Owner/President 303-332-7725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO 104815) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2013-09-05 |