| NPI | 1770937062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN MICHAEL RICHTER Owner/Dentist 303-841-7466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2023-06-06 |