NPI | 1649571001 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID W WINN President/Owner 719-260-9000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 105236) |
Enumeration Date | 2010-11-16 |
Last Update Date | 2010-12-29 |