| NPI | 1376733501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS LOSACCO President 303-569-3141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO 105584) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO 105584) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2008-08-07 |