| NPI | 1568850725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY K HEMSLEY Office Manager 719-534-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CO 7377) |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2014-12-22 |