NPI | 1609132430 |
---|---|
Entity Type | Organization |
Authorized Contact | MONICA SANTOS BORRIS Owner 303-936-3700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO 10104) |
Enumeration Date | 2012-04-05 |
Last Update Date | 2012-04-05 |