| NPI | 1972880078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOHN FOY Owner 719-597-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 104215) |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2011-11-03 |