| NPI | 1376928945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUONG NGUYEN Dentist 303-523-7808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO DEN) |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: CO DEN.00202598) |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2015-07-24 |