NPI | 1871902171 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD J ITO Owner/Dentist 303-296-1825 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 104135) |
Enumeration Date | 2014-08-12 |
Last Update Date | 2014-08-12 |