| NPI | 1598140964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN MCKNIGHT Dentist 970-241-4937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO DEN.00202600) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-07-27 |