| NPI | 1538591763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN M LEWIS Dentist/Owner 970-241-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 10481) |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2015-07-27 |