| NPI | 1821477050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY ANDREOLETTI President 970-858-4544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 104419) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2015-05-20 |