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 |