| NPI | 1609256221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA GONZALEZ Practice Administrator 303-744-4808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 7559) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2015-06-09 |