| NPI | 1851848873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID PAUL ANDERSON Dentist Owner 970-422-8498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO DEN.00202432) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |