| NPI | 1447576749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL L CASEMENT President 303-758-0866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 3674) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO 8658) |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2010-04-12 |