| NPI | 1942324850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE TRAN Secretary 303-935-0496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 104813) |
| Enumeration Date | 2007-03-17 |
| Last Update Date | 2020-08-22 |