| NPI | 1326804576 |
|---|---|
| Doing Business As | LONGMONT ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE DASCH Direc Of Cred & Pr 504-638-0303 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-02-26 |