| NPI | 1386097665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN B SCHAFER Orthodontist/ Owner 970-565-3531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO COLO6144) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2016-07-21 |