| NPI | 1790141539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORBETT W SUMMERS President 303-442-6141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO 5129) |
| Enumeration Date | 2016-01-09 |
| Last Update Date | 2016-01-09 |