NPI | 1962886010 |
---|---|
Doing Business As | STONEBROOK FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | DANIEL L LARSEN Dentist 303-766-4444 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CO 10287) |
Enumeration Date | 2015-07-17 |
Last Update Date | 2015-07-17 |