| NPI | 1659130458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB G ZITTERKOPF Owner/ Dds 719-596-2477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-03-15 |
| Last Update Date | 2024-03-15 |