| NPI | 1679981005 |
|---|---|
| Doing Business As | ADVENTURE DENTAL AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | SHAUN URBANOZO Credentialing Manager 719-323-2362 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2019-10-22 |