NPI | 1447535554 |
---|---|
Doing Business As | ASPEN RIDGE DENTAL CARE |
Entity Type | Organization |
Authorized Contact | JOHN JARED WAITE Dentist, Owner 719-282-3400 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CO 8854) |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2011-10-20 |
Last Update Date | 2023-04-26 |