NPI | 1659654564 |
---|---|
Entity Type | Organization |
Authorized Contact | ORLANDO JUAN LUCERO Owner 719-599-5980 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 80) |
Enumeration Date | 2011-09-27 |
Last Update Date | 2011-09-27 |