| NPI | 1760860670 |
|---|---|
| Doing Business As | COMFORT DENTAL |
| Entity Type | Organization |
| Authorized Contact | BRIAN ANDREW LISTER SEVERANCE Dentist 719-359-1699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2015-05-12 |