| NPI | 1568629996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY HARDISON WURSTEN Owner 303-420-1199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CO 9006) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |