| NPI | 1881025880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANNY LEE SMITH Owner/Partner 719-633-0049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 7185) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2016-04-19 |