| NPI | 1528412806 |
|---|---|
| Doing Business As | TENNYSON STREET FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOHN SCHMIDT Owner/Doctor 303-718-1204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 9919) |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2016-04-22 |