| NPI | 1063084481 |
|---|---|
| Doing Business As | FIRESTONE ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | JAMON VERL JENSEN Owner 303-833-0310 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2021-07-14 |