| NPI | 1154713402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMON JENSEN Owner 303-449-3250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 6921) |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2021-03-03 |