NPI | 1811298664 |
---|---|
Entity Type | Organization |
Authorized Contact | GREG L RODRIGUEZ Administrator 719-266-9393 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 7157) |
Enumeration Date | 2010-11-10 |
Last Update Date | 2010-11-10 |