| NPI | 1104106095 |
|---|---|
| Doing Business As | GREEN VALLEY RANCH MODERN SMILES AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | KATIE L MCCANN Owner Doctor 303-366-3383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2011-08-23 |