NPI | 1972819415 |
---|---|
Former Legal Business Name | MONACO DENTAL ASSOCIATES GP |
Entity Type | Organization |
Authorized Contact | ANASTASIA PETKOVA Owner 303-359-9051 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO CO9747) |
Enumeration Date | 2010-08-22 |
Last Update Date | 2014-12-05 |