| NPI | 1427059229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY KLINER Office Manager 719-528-8292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 8276) |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2008-01-29 |