| NPI | 1548305725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD JAMES GAREL Member 970-569-3055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CO 104546) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2014-06-18 |