| 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 |