| NPI | 1821146523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY MUSELLA President 303-421-4010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CO 104923) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |