| NPI | 1417392242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GALEN T CALLENDER Owner 303-973-7771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: CO 104797) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2013-05-07 |