NPI | 1609090638 |
---|---|
Former Legal Business Name | ERINDALE DENTAL |
Entity Type | Organization |
Authorized Contact | LEOPOLDO RODRIGUEZ Partner 719-596-3939 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-04-12 |
Last Update Date | 2022-07-21 |