| NPI | 1366126583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROLLERT President Dentist 720-452-2144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2023-06-09 |
| Last Update Date | 2023-06-09 |