| NPI | 1730244740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIE BURBEE Executive Director 720-795-9791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| 124Q00000X Dental Hygienist (Licence: CO 201198) | |
| 124Q00000X Dental Hygienist (Licence: CO 201877) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2022-01-14 |