| NPI | 1871508358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT J GERATHY President 719-481-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 6161) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-22 |