| NPI | 1477766178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY H WONG Partner 303-444-6680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |