| NPI | 1457506586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP BREDEE HOLDEN Dentist 719-542-2472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO 7394) |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2008-11-17 |