| NPI | 1467082255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMA GRIJALVA Office Manager 303-220-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2020-01-21 |