| NPI | 1689061079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STERLING LEON ROGERS Owner 719-597-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO 00007989) |
| Additional Taxonomies | 122300000X Dentist (Licence: CO 00201875) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2015-04-23 |