| NPI | 1710188743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER BROWN Endodontist President 1970-945-9499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CO 7142) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |