| NPI | 1427263185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL E GILBERT President 719-473-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO 105258) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |