| 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 |