| NPI | 1740594043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVER MORITZ SPAETH President 719-632-7636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 9295) |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2010-07-29 |