| NPI | 1174322762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM TROY WERTZ CEO 720-938-6918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-03-07 |
| Last Update Date | 2025-03-07 |