| NPI | 1982724456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN MICHELLE ASBURY President 303-768-8443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CO 8534) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |