| NPI | 1023838430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN MATTHEW SCHACHT President 303-341-7151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Enumeration Date | 2024-10-11 |
| Last Update Date | 2024-10-11 |