| NPI | 1386659118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANC JJ VANDERVEN President 303-969-9150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CO 7078) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2013-10-30 |