| NPI | 1467160788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA ALLEN Owner 720-982-7132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2022-11-07 |