| NPI | 1689797086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD ALFRED DECINO President 303-996-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: CO 5926) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |