| NPI | 1265804355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL KENT LAUSON Owner 303-690-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO DEN00202083) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO DEN00000758) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |