NPI | 1356621122 |
---|---|
Doing Business As | COMFORT DENTAL EVERGREEN |
Entity Type | Organization |
Authorized Contact | GARY D ROTOLO Partner 303-674-6070 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CO 8121) |
Enumeration Date | 2011-08-24 |
Last Update Date | 2011-08-24 |