| NPI | 1356342455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. MARC CARPENTER Dentist 303-427-4120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 104308) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2020-08-22 |