| NPI | 1801208905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK R. RATHBURN Dentist 303-786-9673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 6553) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2014-05-22 |