| NPI | 1336512540 |
|---|---|
| Doing Business As | CHEYENNE MOUNTAIN MODERN DENTISTRY AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | RYAN M PFEIFER Owner 719-800-0399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-10 |