| NPI | 1669686598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY DAWN WHITTERN Dentist President 303-678-7558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 6592) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MN 10089) |
| 1223G0001X Dentist, General Practice (Licence: IA 7232) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |