| NPI | 1720569569 |
|---|---|
| Doing Business As | DSA |
| Entity Type | Organization |
| Authorized Contact | AHMAD WALID DASTGEER Certified Surgical Assistant 720-300-1208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: CO 83266) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-08-28 |