| NPI | 1386759025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ELLIOT LEVINE Doctor/Endodontist 303-695-4838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CO 104138) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: CO 104138) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-08-22 |