| NPI | 1609598390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRIYANGANI DEEPA GOONATHILAKA Director Of Revenue Cycle 303-665-3036 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2022-09-28 |