| NPI | 1417452806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH BURSON Owner Dentist 720-634-6221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO DEN10283) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-03-27 |