| NPI | 1992929400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYANN M MONFILETTO Office Manager 303-337-2794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 4100) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |