| NPI | 1972220291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE SCOTT Financial Adm 719-545-2722 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-10-26 |
| Last Update Date | 2023-01-11 |