| NPI | 1992703144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH L ANDOW President 303-799-1525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CO 105402) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2020-08-22 |