| NPI | 1558876599 |
|---|---|
| Doing Business As | HOMESTEAD DENTAL |
| Entity Type | Organization |
| Authorized Contact | KEVIN KEITH ONEILL President 303-913-4042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CO 105673) |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2017-12-13 |