| NPI | 1992892582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES RANDALL MAYO Dentist Partner 303-421-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist (Licence: CO 7897) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2022-09-13 |