NPI | 1437880341 |
---|---|
Doing Business As | COLORADO SPRINGS DENTAL |
Entity Type | Organization |
Authorized Contact | MATT HALE Authorized Representative 214-702-0720 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2022-06-21 |
Last Update Date | 2022-06-21 |