| NPI | 1487820247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDI L MERO Office Manager 970-259-0113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 7262) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-01 |