| NPI | 1861663668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY KRAINIK Owner 303-255-4855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 10-4900) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-03-19 |