| 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 |