NPI | 1972744548 |
---|---|
Doing Business As | ADVENTURE DENTAL, VISION AND ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | SHAUN URBANOZO Credentialing Manager 719-323-2362 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2009-03-11 |
Last Update Date | 2019-10-21 |