NPI | 1528352101 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN LEE HUTCHISON President 720-583-1425 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO 9647) |
Enumeration Date | 2011-06-01 |
Last Update Date | 2011-06-02 |