NPI | 1053909291 |
---|---|
Entity Type | Organization |
Authorized Contact | ROGER BUMGARNER Owner 303-495-2801 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2021-01-04 |
Last Update Date | 2021-01-04 |