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 |