| NPI | 1871145508 |
|---|---|
| Former Legal Business Name | DUTCH CREEK DENTAL PC |
| Entity Type | Organization |
| Authorized Contact | MIHAI ITOAFA President 303-978-1522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-07-12 |