NPI | 1285093328 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAYNA BAHR Member 303-524-4501 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MO 2008019818) |
Enumeration Date | 2016-02-17 |
Last Update Date | 2016-02-17 |