| NPI | 1619360146 |
|---|---|
| Doing Business As | AWESOME DENTAL STAPLETON |
| Entity Type | Organization |
| Authorized Contact | JACK NGUYEN Dentist 303-355-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO 10155) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |