| NPI | 1881946309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAEMAN NOORI Owner 303-232-5637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: CO 10330) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2012-10-08 |