| NPI | 1942544507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON PIERCE GOODMAN President 720-515-1801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CO 10402) |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2013-08-07 |