| NPI | 1386085520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD MICHAEL ROBY President/Owner 303-641-0954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 104163) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2014-10-20 |