NPI | 1528442613 |
---|---|
Entity Type | Organization |
Authorized Contact | CRAIG K SOMMER Owner 719-632-3591 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO DEN00006887) |
Enumeration Date | 2015-07-17 |
Last Update Date | 2023-08-10 |