| NPI | 1669746889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD W TRAMMELL Oral Surgeon 303-865-7550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: CO 6896) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-03-06 |