| NPI | 1437334844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST DALE BENNETT President 303-688-3008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CO 3792) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-01-03 |