Blue Mesa Dentistry At The Crest Valid NPI

Organization · General Practice Dentistry · Lone Tree, CO

NPI

1356496558

Type

Organization (Type 2)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

8696 (CO)

Enumerated

2007-01-25

Last updated

2020-08-22