| NPI | 1417260787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARA LYNN MUDD Owner/Dentist 303-650-0310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CO 8289) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2010-07-15 |