| NPI | 1609100437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELLE LYNN TONN Owner 719-638-7673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO 9798) |
| Enumeration Date | 2009-09-26 |
| Last Update Date | 2024-06-11 |