| NPI | 1760735856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS PEAK Owner/Dentist 719-694-1929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 8702) |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2012-10-26 |