| NPI | 1669876272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG SEFCIK Dentist 303-794-1707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 10729) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO 00201897) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2014-10-13 |