| NPI | 1649413030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J HENRY Owner 303-670-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO 7734) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2009-04-14 |