NPI | 1639470941 |
---|---|
Entity Type | Organization |
Authorized Contact | DOUGLAS HONG Owner 303-255-0500 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CO 46207) |
Enumeration Date | 2010-11-03 |
Last Update Date | 2010-11-03 |