| NPI | 1376091652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BYRON CARLTON CORBETT President 970-242-0288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 6913) |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2016-09-15 |