| NPI | 1790163004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANN FRANCIS WHALEN President 303-232-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO 104764) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2015-05-07 |