| NPI | 1215179148 |
|---|---|
| Doing Business As | JOHN R SEXTON |
| Entity Type | Organization |
| Authorized Contact | VALERIE LOPEZ Manager 303-985-0918 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO 104708) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO 9060) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 105855) | |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2009-03-24 |