| NPI | 1558528885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY L COCA Office Manager 719-564-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CO 8392) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-06-11 |