| NPI | 1801277926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER KAY HARGLEROAD Owner Member 970-493-2254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO 8365) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2015-06-15 |