| NPI | 1245389147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN L CARTER President 303-986-7846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: CO 106412) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |