| NPI | 1710474374 |
|---|---|
| Former Legal Business Name | ALEXANDRA BASSETT |
| Entity Type | Organization |
| Authorized Contact | SARA SMITH Front Office Coordinator 720-440-7743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO DEN.00202416) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2018-04-19 |