| NPI | 1437968716 |
|---|---|
| Former Legal Business Name | CEDAR SMILES ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | MICHAEL DEAN KOFFORD Owner 719-331-2504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-01-02 |
| Last Update Date | 2025-01-02 |