| NPI | 1619365020 |
|---|---|
| Doing Business As | PIKES PEAK DENTAL X-RAY, INC |
| Entity Type | Organization |
| Authorized Contact | LIZ BASSIN Billing 949-529-7227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center Radiology |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-01-07 |