| NPI | 1689831984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WIILIAM OLDERSHAW Dentist 303-904-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO 100899) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2009-03-25 |