| NPI | 1801000369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY RUSSELL LEMKE Owner 303-366-1592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CO 5555) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |