| NPI | 1396139051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON BABEL Office Manager 970-420-6848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2015-03-20 |