NPI | 1194279828 |
---|---|
Doing Business As | RANGEWOOD ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | CHAD M WATTS President 719-596-3113 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO DEN.00009805) |
Enumeration Date | 2016-08-11 |
Last Update Date | 2021-12-15 |