NPI | 1922212943 |
---|---|
Doing Business As | FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | COLLIS JOHNSON Dentist Owner Pc 303-322-1177 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CO 104176) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2008-09-02 |