| NPI | 1730344540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY WILLIAMS TRUJILLO Owner 719-630-3554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 7239) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2008-07-21 |