| NPI | 1437250552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA L. PFANKUCH Business Assistant/Office Manager 303-429-3549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |