| NPI | 1407205099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAYNA BAHR Managing Member 303-524-4501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2008019818) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2016-06-06 |