| NPI | 1417327784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE SCHWARTZENBERGER Partner 303-989-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO 9627) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: CO 10138) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-11-10 |