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 |