NPI | 1437171477 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES C. GRANT Dentist 719-576-3276 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 104218) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2020-08-22 |