| NPI | 1619113990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT FRANKLIN UTBERG Owner/President/Dentist 303-841-5313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO 104866) |
| Additional Taxonomies | 122300000X Dentist (Licence: CO 6956) |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2011-12-29 |