| NPI | 1063920379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI LYNN BRANDENBURG Owner/Employee 303-960-5880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO DH.000905258) |
| Enumeration Date | 2018-01-21 |
| Last Update Date | 2018-06-16 |