| NPI | 1760552491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN ANTHONY NOBLE D Entist 719-382-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 7581) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |