NPI | 1447248059 |
---|---|
Entity Type | Organization |
Authorized Contact | DAWN M WHITE Owner 303-534-2626 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 5438) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO 5451) |
1223G0001X Dentist, General Practice (Licence: CO 7334) | |
1223G0001X Dentist, General Practice (Licence: CO 8953) | |
1223P0300X Dentist, Periodontics (Licence: CO 106277) | |
Enumeration Date | 2005-10-07 |
Last Update Date | 2008-01-22 |