| NPI | 1669876850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | A PATRICE SCHELL Office Manager 970-323-6828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO 106268) |
| Enumeration Date | 2014-10-16 |
| Last Update Date | 2014-10-20 |