| NPI | 1699181735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG ALLEN PHILSON Doctor 719-545-6421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 5932) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-09 |