| NPI | 1821118555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA K MCCLAIN Co Owner 303-696-7885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CO 105941) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2015-01-06 |