| NPI | 1972780666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN M WHITE Owner 303-534-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 5438) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO 5451) |
| 1223G0001X Dentist, General Practice (Licence: CO 7334) | |
| 1223G0001X Dentist, General Practice (Licence: CO 8953) | |
| 1223P0300X Dentist, Periodontics (Licence: CO 106277) | |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2008-01-25 |