| NPI | 1598934853 |
|---|---|
| Doing Business As | ADVENTURE DENTAL AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE M SOUDER Credentialing Manager 719-323-2362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2018-03-29 |