NPI | 1417587411 |
---|---|
Doing Business As | STONEGATE DENTAL CARE |
Entity Type | Organization |
Authorized Contact | DEVIN RENTZ Owner 720-851-7069 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2020-01-19 |
Last Update Date | 2020-01-19 |