NPI | 1720247695 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN TRAHAN Managing Partner 303-377-1280 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 9303) |
Enumeration Date | 2008-06-05 |
Last Update Date | 2008-06-05 |