| NPI | 1447420922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVE BLUESTEIN Owner 303-938-1161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: CO 39080) |
| Additional Taxonomies | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: OH 30020765) |
| 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: CO 8312) | |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2008-04-02 |