| NPI | 1477094563 |
|---|---|
| Doing Business As | TRAIL RIDGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | MICHELLE VISGER Office Manager 303-772-6960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO 7130) |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |