| NPI | 1376698175 |
|---|---|
| Former Legal Business Name | DRS BASSETT, WALLACE & SELNER, PC |
| Entity Type | Organization |
| Authorized Contact | GERALD F WALLACE Owner 720-488-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2009-12-04 |