NPI | 1366645004 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN M BISHOP President 303-440-4777 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 105071) |
Enumeration Date | 2007-06-08 |
Last Update Date | 2020-08-22 |