NPI | 1548691520 |
---|---|
Doing Business As | PROFESSIONAL DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | DANIEL G. HILL Owner 970-638-2169 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CO 7990) |
Enumeration Date | 2013-12-02 |
Last Update Date | 2013-12-02 |