NPI | 1437261930 |
---|---|
Entity Type | Organization |
Authorized Contact | ALOIS KARL TRIPAM General Dentist Owner 970-498-8300 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 7503) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO 8112) |
1223G0001X Dentist, General Practice (Licence: CO 7043) | |
1223G0001X Dentist, General Practice (Licence: CO 9147) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2020-08-22 |