| NPI | 1366801953 |
|---|---|
| Doing Business As | GREEN DENTAL |
| Entity Type | Organization |
| Authorized Contact | JUSTIN KWON President 720-340-0348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 9372) |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2016-02-11 |