| NPI | 1265888648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILARY BASKIN Owner 303-679-0560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO DEN.00006889) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-24 |