| NPI | 1588109862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN BARCLAY SMITH Dentist/Owner 303-442-4437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO 00202990) |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2016-12-22 |