| 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 |