| NPI | 1568761179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN RICHARDSON Dentist 303-794-9271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 8142) |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2011-03-22 |