| NPI | 1346667037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT BRUGGEMAN President 303-548-5595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CO 9574) |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-03-19 |