| NPI | 1245412436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER H KO Operating Manager 303-254-8828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2007-11-29 |