NPI | 1629251228 |
---|---|
Doing Business As | ADVENTURE DENTAL AND VISION |
Entity Type | Organization |
Authorized Contact | SHAUN URBANOZO Credentialing Manager 719-323-2362 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-12-06 |
Last Update Date | 2019-10-22 |