| NPI | 1558603340 |
|---|---|
| Doing Business As | LIGHTHOUSE DENTAL |
| Entity Type | Organization |
| Authorized Contact | MARK VELEMIROVICH Owner/Dentist 303-657-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO 00201897) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2025-12-01 |