| NPI | 1407167836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRA HERSHMAN Office Manager 303-776-1480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO 7850) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2025-07-29 |