| NPI | 1366953044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE M ALFORD Dentist 303-870-9345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CO 7632) |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2021-08-11 |