| NPI | 1790951622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN FRIEDMAN President 303-321-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 0830) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |