| NPI | 1649770108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY LYNN HUFF Practice Manager 303-678-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 9363) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-02-20 |