| NPI | 1649411786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M KENNEDY President 970-242-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CO 7630) |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2009-03-19 |