NPI | 1851776058 |
---|---|
Doing Business As | PANORAMA DENTAL |
Entity Type | Organization |
Authorized Contact | BARRY WOHLGEMUTH Dentist 303-755-8388 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 104262) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: CO 104262) |
1223P0300X Dentist, Periodontics (Licence: CO 104262) | |
1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CO 104262) | |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 104262) | |
Enumeration Date | 2015-07-29 |
Last Update Date | 2015-07-29 |