| NPI | 1376955179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY MEYER Office Manager 970-226-6443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2014-05-28 |