| NPI | 1811209505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANNE MADDUX Executive Director 303-953-6618 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO 1804gc) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2023-02-14 |