| NPI | 1891798690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS KENNETH MATSUI C.E.O. 303-234-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CO 105042) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2008-06-18 |