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 |