| NPI | 1538523550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ZULIAN Owner 970-669-6850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CO 6830) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2016-04-06 |