| NPI | 1649512849 |
|---|---|
| Doing Business As | PARK PLACE DENTAL |
| Entity Type | Organization |
| Authorized Contact | GRADY RANDALL Owner 303-690-0877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO DEN00201849) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-03-26 |