| NPI | 1871881664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERILYN FLOYD Administrator 720-870-1451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: CO 104672) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2011-07-14 |