| NPI | 1811428931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG W PYLE President 970-871-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CO 10641) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-21 |