| NPI | 1356103394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH GUIDO President 970-672-7525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2024-01-25 |