| NPI | 1649485814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ROLAND MACKIE President 303-466-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 100968) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |