| NPI | 1295198026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREY D NAZAROV Doctor 720-842-4544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 8530) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-03-30 |