| NPI | 1952054504 |
|---|---|
| Doing Business As | CODY DENTAL |
| Entity Type | Organization |
| Authorized Contact | GREGORY KOSTELAC Rcm Analyst 719-372-5605 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2022-02-02 |