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 |