| NPI | 1659726693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE E HABERSTROH Owner 303-343-2161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 105191) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |