| NPI | 1184975526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CLAYDEN Member 720-427-2818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2012-09-25 |