NPI | 1629519723 |
---|---|
Doing Business As | FOUR SEASONS DENTAL CARE N |
Entity Type | Organization |
Authorized Contact | MICHELLE LYNN OLSON Practice Manager 719-375-1358 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO 00202298) |
Enumeration Date | 2017-03-09 |
Last Update Date | 2017-03-09 |