| NPI | 1639285661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELIZABETH PEEBLES President 303-460-9366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CO 104627) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-08-22 |