NPI | 1770606055 |
---|---|
Entity Type | Organization |
Authorized Contact | HESHAM ABOU YOUSSEF President 303-617-6323 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CO 7151) |
Enumeration Date | 2007-04-09 |
Last Update Date | 2020-08-22 |