| NPI | 1598940785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAROM LAMOREAUX Owner/Manager 719-488-5981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 9335) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-01-07 |