NPI | 1821540337 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN MONTOYA Owner/President 720-548-0480 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 9350) |
Enumeration Date | 2016-11-01 |
Last Update Date | 2016-11-01 |