| NPI | 1982826517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PURVI V SHAH President 303-663-3388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: CO 9060) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2022-08-05 |