| NPI | 1629237557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE ANTHONY COVELLO Owner/Pres 970-963-3010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO HD781) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2008-06-05 |