| NPI | 1639310873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITNY MASSEY Owner/Operator 719-442-1960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CO 9637) |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2009-03-18 |