| NPI | 1003189127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ALAN HAMERSKY Owner 720-344-2662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 4397) |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2012-02-21 |