| NPI | 1679811509 |
|---|---|
| Doing Business As | SILVER LEAF DENTAL |
| Entity Type | Organization |
| Authorized Contact | TIM JESSOP Owner 970-249-4457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2013-01-28 |