| NPI | 1790143600 |
|---|---|
| Doing Business As | BRECKENRIDGE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | THOMAS NELSON ROWE Owner 303-915-0439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO 202040) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-02-05 |