| NPI | 1689177008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE KIM General Dentist 720-477-1449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO 00202690) |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2020-12-17 |