| NPI | 1477550275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M JOHNSON Senior Partner 719-527-9098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 377) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2020-08-22 |