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 |