| 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 |