| NPI | 1467857789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALLEN BEEBE Owner/Orthodontist 303-366-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CO 10409) |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: CO 10409) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2014-10-29 |