| NPI | 1750864906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA PETERS Office Manager 303-344-2705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2018-09-13 |