| NPI | 1194172791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ALEXANDER Doctor 970-249-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 6573) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2016-05-24 |