NPI | 1205156007 |
---|---|
Doing Business As | EVERGREEN ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | DORI JOSHUA PAPIR Owner 720-962-9000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 8163) |
Enumeration Date | 2010-06-03 |
Last Update Date | 2010-06-03 |