| NPI | 1528360161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT R WILLIAMS President 970-351-6095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO DEN9689) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |