| NPI | 1437683513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL HAMERSKY Owner 719-355-2702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 4397) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2017-04-17 |