| NPI | 1588657795 |
|---|---|
| Doing Business As | COTTONWOOD DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | DARRELL GILBERT JACKSON Owner 719-589-5272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 8293) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2008-08-19 |