| NPI | 1740433184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LEE CARTER President 719-591-0750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO 3248) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2008-10-29 |