| NPI | 1700315306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEA MILLER BARR President 970-255-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO 00203183) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2023-02-19 |