| NPI | 1710916606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN D WEIMER Owner Dentist 970-879-4290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 00300) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-08-22 |