| NPI | 1942687926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYN FEULA Financial COO Rdinator 303-444-6680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CO 8169) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2015-04-29 |