| NPI | 1710316633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL HAMERSKY Dentist 720-317-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2016-05-05 |