| NPI | 1780049056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ANNE BARRON Owner Dentist 857-225-1342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CO DEN10056) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2015-12-30 |