| NPI | 1568765105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ANTHONY GUIDO Owner 970-224-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO 8628) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO 8628) |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2023-02-06 |