| NPI | 1588039226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN FOSTER Owner/Operator 719-360-2169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO DH000903927) |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-07 |