| NPI | 1851651848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW COMERCI Authorized Official 719-545-2468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO 00010527) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2018-08-31 |