| NPI | 1952788382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVER M SPAETH Owner/President 719-440-7781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 9295) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-06 |