| 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 |