| NPI | 1427352996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE A KANIFF Owner 970-319-2999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO DEN 8967) |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2021-12-27 |