| NPI | 1407522022 |
|---|---|
| Other Name | SAN FAMILY MEDICINE CENTER 144TH - DENTAL |
| Entity Type | Organization |
| Authorized Contact | ANGELA J SKINNER Administrator, Oma 303-673-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2021-08-23 |