| NPI | 1962745489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES GERWECK Sole Member 720-328-1375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO DEN00010035) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2013-04-03 |