| NPI | 1043490998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WADE D HOUSEWRIGHT Owner 719-495-1230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2007-11-08 |