NPI | 1952817520 |
---|---|
Doing Business As | LONE TREE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | KELLY FREEMAN Owner President 303-790-0234 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CO 9957) |
Enumeration Date | 2017-12-19 |
Last Update Date | 2017-12-19 |