| NPI | 1841335700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAC MCALLISTER Manager 303-832-8633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: CO 579) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2008-07-09 |