| NPI | 1952320137 |
|---|---|
| Doing Business As | SKYLINE DENTAL |
| Entity Type | Organization |
| Authorized Contact | LISA P TOBIN Office Manager 970-242-3545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NA) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |