| NPI | 1518181601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH LEVOS President 303-674-5725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 9299) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |