NPI | 1790395515 |
---|---|
Doing Business As | STOLL FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | JOSEPH STOLL President 303-841-7045 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2020-08-06 |
Last Update Date | 2021-01-20 |