| NPI | 1235680539 |
|---|---|
| Doing Business As | ABC FAMILY DENTAL & ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | PAVEL NISS General Dentist 303-337-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO DEN.00010381) |
| Additional Taxonomies | 122300000X Dentist (Licence: CO DEN.00202968) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CO DEN.00010381) | |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |