| 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 |