NPI | 1902282361 |
---|---|
Doing Business As | ADVENTURE DENTAL, VISION AND ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | SHAUN URBANOZO Credentiailng Manager 719-323-2362 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2015-08-07 |
Last Update Date | 2020-11-23 |