| NPI | 1992897672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASPER D MAURER Partner 970-242-9207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO 8814) |
| Additional Taxonomies | 122300000X Dentist (Licence: CO 8815) |
| 122300000X Dentist (Licence: CO 7492) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-08-22 |