| NPI | 1134674849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA AUSTIN Orthodontist/Owner 303-940-5659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2016-08-23 |