NPI | 1558484691 |
---|---|
Doing Business As | ANDANTE ENDODONTICS |
Entity Type | Organization |
Authorized Contact | RANDA KAREN DEGERNESS Administrator 303-726-6565 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO DEN000000005149) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: MN D9660) |
Enumeration Date | 2007-04-06 |
Last Update Date | 2020-08-22 |