| NPI | 1578001442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN T DONN Owner/Dentist 719-576-6551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 201990) |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2017-03-12 |