| NPI | 1043747900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN BARDEN Practice Manager 303-421-5437 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO 7843) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO 8332) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: CO 651) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: CO 10389) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 104994) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 104928) | |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2017-05-22 |