NPI | 1548703325 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK NATHAN LAWSON President 303-364-6455 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 9738) |
Enumeration Date | 2016-11-28 |
Last Update Date | 2016-11-28 |