NPI | 1871973776 |
---|---|
Doing Business As | BLACK MOUNTAIN FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | ANDREEA TOROK Dentist/Owner 720-244-7172 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO 9926) |
Enumeration Date | 2015-06-04 |
Last Update Date | 2015-06-04 |