| NPI | 1356554174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS VINCENT SPICCIATI President Of Corporation 719-597-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 715) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |