| NPI | 1316569262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMA B GRIJALVA Office Manager 303-341-2273 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2020-05-14 |