| NPI | 1356686182 |
|---|---|
| Other Name | THE DENTAL IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | JUSTIN DAVID MOODY Owner/Sole Mbr 303-515-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO DEN 9555) |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2012-12-05 |