| NPI | 1700921707 |
|---|---|
| Doing Business As | DENTAL HEALTH AT 16TH STREET MALL, PPLC |
| Entity Type | Organization |
| Authorized Contact | CONNIE JUNIEL Manager 303-592-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 579) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2008-07-09 |