| NPI | 1952568230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR HAROLD BURDICK President 303-794-5138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CO 6175) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2012-10-15 |