| NPI | 1396020657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY K MATZ Dental Facilitator 303-772-8585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CO 8762) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2011-10-19 |