| NPI | 1487647327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GORDON MINGLE President 303-690-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 7126 & 7144) |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2020-08-22 |