| NPI | 1386142420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ANDREW LUCERO President 303-834-0615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: CO 00203172) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2022-08-02 |