NPI | 1801915665 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL E HOLSTEEN President 719-598-3502 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 105376) |
Enumeration Date | 2007-03-29 |
Last Update Date | 2020-08-22 |