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 |