| NPI | 1629472865 |
|---|---|
| Doing Business As | HIDDEN LAKE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JESSICA B PETERS Owner 303-427-4001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2014-10-17 |