| NPI | 1497164842 |
|---|---|
| Doing Business As | DRY CREEK DENTAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL SHAWN MCCORMACK Owner 303-794-6959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2014-08-11 |