| NPI | 1922361062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN JON REISMAN Owner 303-665-2377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CO 7346) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2012-06-22 |