| NPI | 1689192924 |
|---|---|
| Doing Business As | AURORA YOUTH DENTAL & VISION |
| Doing Business As | AURORA YOUTH VISION |
| Entity Type | Organization |
| Authorized Contact | AMBER LOGAN Authorized Official 719-200-5653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2020-06-24 |