| NPI | 1609096999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD R WESTPHAL President 719-544-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CO 100988) |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2020-08-22 |