| NPI | 1992391429 |
|---|---|
| Doing Business As | GENTLE SMILES OF COLORADO |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JOHN WACHUTA Dentist/Owner 303-756-2770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-12-18 |
| Last Update Date | 2020-12-18 |