| NPI | 1760645717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW SCOTT MILLER Dentist 719-632-6001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 1223g0001x) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2008-07-09 |