| NPI | 1558651042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANNY ABBOUD President 303-933-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 10095) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO 9598) |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2011-04-18 |