| NPI | 1467627281 |
|---|---|
| Doing Business As | YOUNG AT HEART DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL R HERRERA Business Manager 719-696-9009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 8809) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO 9492) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2021-10-21 |