| NPI | 1740648179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE DIANE WOOD Manager/Owner 720-496-6422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO 000905643) |
| Enumeration Date | 2016-01-30 |
| Last Update Date | 2016-06-01 |