| NPI | 1518295377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD JAMES PASS President 970-482-6841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO DEN-10038) |
| Enumeration Date | 2009-12-05 |
| Last Update Date | 2022-06-17 |