| NPI | 1477092500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BENNETT Partner/Owner 303-690-0877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO 7665) |
| Additional Taxonomies | 122300000X Dentist (Licence: CO 10483) |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2017-02-22 |