| NPI | 1447344312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN POOVEY Owner 970-243-2025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 9033) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO 8316) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |