| NPI | 1841659422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN TRAHAN Executive Manager 303-523-9917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 201938) |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2016-02-11 |