NPI | 1346663622 |
---|---|
Doing Business As | ANGIE LEE PERIODONTICS & IMPLANT DENTISTRY |
Entity Type | Organization |
Authorized Contact | ANGIE LEE Manager 970-999-4321 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CO 201944) |
Enumeration Date | 2014-01-22 |
Last Update Date | 2014-02-07 |