| NPI | 1386706430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE L FARMER President 303-934-0232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 105415) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2020-08-22 |