| NPI | 1467518357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE J SELTING Dentist 719-593-1177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 104412) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |