NPI | 1992032874 |
---|---|
Other Name | COMFORT DENTAL NORTH ACADEMY |
Entity Type | Organization |
Authorized Contact | ROBERT BRYAN WYETH Partner 719-522-0800 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2009-11-12 |
Last Update Date | 2015-07-21 |