| NPI | 1497053284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERREN E TIPPETS Owner 303-853-9955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO 9579) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2011-03-07 |