| NPI | 1528399805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY LEE KOCHEVAR Dentist 303-684-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 8471) |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2010-01-26 |