| NPI | 1518975739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA S SCHNEIDER Dentist Manager 303-996-2963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 6130) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-08-22 |