NPI | 1578725743 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL J. PURCELL Owner/Dentist 719-442-1960 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO 7055) |
Enumeration Date | 2008-06-30 |
Last Update Date | 2008-06-30 |