| NPI | 1952752693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA G SCHRANER Office Manager 719-344-8190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: CO 9651) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-06-23 |