| NPI | 1699164319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON HALL Presiden/Dentist 970-824-1178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 00202398) |
| Enumeration Date | 2015-01-19 |
| Last Update Date | 2015-01-19 |