| NPI | 1710028337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY WOHLGEMUTH Dentist 303-755-8388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 104262) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |