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 |