| NPI | 1356759054 |
|---|---|
| Other Name | SOUTHERN COLORADO ORTHODONTIC SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | JAE BRIMHALL Sole Owner 435-881-7110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO DEN.00202177) |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2014-07-25 |