| NPI | 1427654268 |
|---|---|
| Doing Business As | COLORADO ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | OWEN NIEBERG CEO 917-224-8171 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2020-12-08 |