| NPI | 1255488508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER KO Office Manager 303-738-8828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 7924) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |