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 |