| NPI | 1821162470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH MISCHELLE DOLL Pediatric Dentist 970-506-1339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO 8526) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2014-09-22 |