| NPI | 1811321300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FANTASIA OCHOA Office Manager 303-343-2803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO 00201905) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2013-09-03 |