| NPI | 1437522513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE ANN JONES Practice Manager 303-973-4424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: CO 6874) |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: CO 9732) |
| 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: CO 10079) | |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2021-05-06 |