| NPI | 1184828345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE SUE STOWERS Vice President 970-667-9193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 7886) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2020-08-22 |