STATE BOARD FOR COMMUNITY COLLEGES AND OCCUPATIONAL EDUCATION

NPI # 

Practice Address:

1062 Akron Way , Bldg 753

Denver, CO, 80230-7102

Practice Phone:

303-365-8340

License Number:

905071

License State:

CO

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Dental

Taxonomy Code:

261QD0000X