| NPI | 1679872741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY HEATH COPELAND Dentist/President 303-791-8530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO 10121) |
| Additional Taxonomies | 122300000X Dentist (Licence: CO 10120) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-03-15 |