| NPI | 1336552504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GARLOCK President 303-627-6212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: CO 00201873) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-06-05 |