| NPI | 1871992404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY EGERT Co Owner 303-744-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-08-20 |