| NPI | 1740305820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MAGUIRE Managing Partner 970-926-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO 7805) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |