| NPI | 1225275282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ROBERT SEXTON President 303-421-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO 8466) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 6365) |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2009-01-13 |