| NPI | 1508197294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA J LEITNER Office Manager 303-740-0080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CO 8094) |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2010-01-20 |