NPI | 1346321163 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK A. REINICKE Dentist 719-634-5864 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 7270) |
Enumeration Date | 2006-10-18 |
Last Update Date | 2020-08-22 |