| NPI | 1861687733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD ARTHUR NELSON President 719-593-1116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 105161) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2007-09-12 |