| NPI | 1386992113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WADE HIRSCHMAN Owner/Dentist 303-526-1502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CO 9779) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2012-08-28 |