| NPI | 1588708135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J GAREHIME President 303-741-4441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CO DEN104875) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |