| NPI | 1972647303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESSELY K CHAMBERS Executive Director 303-758-5858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO 3514) |
| 1223G0001X Dentist, General Practice (Licence: CO 3767) | |
| 1223G0001X Dentist, General Practice (Licence: CO 486) | |
| 1223G0001X Dentist, General Practice (Licence: CO 546) | |
| 1223G0001X Dentist, General Practice (Licence: CO 7996) | |
| 1223G0001X Dentist, General Practice (Licence: CO 8359) | |
| 1223G0001X Dentist, General Practice (Licence: CO 487) | |
| 1223G0001X Dentist, General Practice (Licence: CO 6773) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: CO 7077) | |
| Enumeration Date | 2007-02-18 |
| Last Update Date | 2008-07-17 |