| NPI | 1942342456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JAMES LYNCH President 719-598-7797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CO 7139) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |