| NPI | 1295297786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS HOLBROOK Office Manager 970-226-6443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2019-04-03 |