| NPI | 1366036030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY JANKOWSKI Business Manager 720-480-2217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 122300000X Dentist |
| 1223D0001X Dentist, Dental Public Health | |
| 1223G0001X Dentist, General Practice | |
| 1223P0106X Dentist, Oral and Maxillofacial Pathology | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| 1223X2210X Dentist, Orofacial Pain | |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2021-02-23 |