| NPI | 1508280553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAC LANDERS Office Manager 303-224-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CO 201824) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: CO 06534) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2014-02-11 |