| NPI | 1316765001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON LINN President 303-688-9617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-11-08 |