| NPI | 1922399120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD L. MCLAIN Owner 303-840-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CO 7590) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2016-10-18 |