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 |