| NPI | 1730744046 |
|---|---|
| Doing Business As | SPRUCE CANYON FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | RANI KOGANTI KAZA Owner 720-222-3132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2019-06-11 |