| NPI | 1417256009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISA MALEY Practice Manager 303-713-1950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 9506) |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2011-03-22 |