NPI | 1609224195 |
---|---|
Entity Type | Organization |
Authorized Contact | CLINTON THOMAS CALLAHAN Owner/Dentist 719-265-9600 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO 8468) |
Enumeration Date | 2016-05-25 |
Last Update Date | 2021-10-26 |