| NPI | 1306336318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN MICHAEL OWENS Owner/Orthodontist 303-744-1701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 8538) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-05-15 |