| NPI | 1598949836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY MARTIN RAYL Owner 719-599-3999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 6395) |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2007-12-21 |