| NPI | 1831481530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NILE G SCOTT Owner 719-545-2722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO CO-0112) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2011-05-12 |