| NPI | 1962895904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA ANN COFFEE Owner/Hygienist 303-955-8490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CO DH000903217) |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2015-03-16 |