| NPI | 1578198917 |
|---|---|
| Doing Business As | ADVENTURE DENTAL AND VISION |
| Entity Type | Organization |
| Authorized Contact | SHAUN URBANOZO Credentialing Manager 719-323-2362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |