| NPI | 1578090924 |
|---|---|
| Doing Business As | TABLE MOUNTAIN DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | CRAIG M CARDON Owner/President 720-822-9059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO 202212) |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2017-05-16 |