| NPI | 1487066536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY D FILTER Owner Pc 719-539-6142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO 7143) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CO 0000200079) |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2014-05-23 |