| NPI | 1629205141 |
|---|---|
| Former Legal Business Name | THE FAMILY DENTIST |
| Entity Type | Organization |
| Authorized Contact | MARTHA E SKELTON Dentist 303-427-8690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO 5532) |
| Additional Taxonomies | 122300000X Dentist (Licence: CO 8981) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2009-06-11 |