| NPI | 1356135230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BRIAN SANDERS Owner/Orthodontist 719-598-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-04-07 |