| NPI | 1376695866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEENARD THOMAS GAGLIONE Dentist Owner 970-242-6753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 6885) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |