| NPI | 1508899501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE A WAHL President 303-337-7994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 105395) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |