| NPI | 1497928527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSTY KIP DAVIS President 303-364-6455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 9535) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2008-04-09 |