| NPI | 1619444130 |
|---|---|
| Doing Business As | PROWEST DENTURE CLINIC |
| Entity Type | Organization |
| Authorized Contact | LINDA KIM Owner 303-229-0580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2018-11-02 |