NPI | 1487762746 |
---|---|
Former Legal Business Name | PAUL R BIGUS D.D.S. |
Entity Type | Organization |
Authorized Contact | PAUL R BIGUS Owner 970-667-1293 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CO 9131) |
Additional Taxonomies | 122300000X Dentist (Licence: PA DS035710) |
Enumeration Date | 2006-08-28 |
Last Update Date | 2020-08-22 |