| NPI | 1790900728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUY F GRABIAK Partner 303-988-6110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CO 3316) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO 8078) |
| 1223G0001X Dentist, General Practice (Licence: CO 6596) | |
| 1223G0001X Dentist, General Practice (Licence: CO 3105) | |
| 1223G0001X Dentist, General Practice (Licence: CO 6565) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-08-22 |