| NPI | 1407341035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEHROD KHANKHANIAN Owner 720-233-6812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: CA 63223) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2022-10-21 |