| NPI | 1982903373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LEE WEBER Dentist/Owner 303-576-9016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO 7694) |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2011-03-24 |