| NPI | 1558607242 |
|---|---|
| Other Name | COLLIS JOHNSON JR DDS |
| Entity Type | Organization |
| Authorized Contact | COLLIS JOHNSON Dentist/Owner 303-322-1177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 104176) |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2012-12-27 |