| NPI | 1598178014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA RHODES Financial Coordinator 719-596-3081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 8939) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-06-03 |