NPI | 1467688291 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID MALCOLM STRANGE President 303-467-8888 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO 7843) |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 6365) |
Enumeration Date | 2009-06-08 |
Last Update Date | 2009-06-08 |