| NPI | 1568694305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN GATES Office Manager 303-530-9694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: CO 100945) |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2009-08-12 |