| NPI | 1912120965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN VEAN President 303-722-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO 0652) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |