| NPI | 1487087326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW F BRADY Owner 720-638-6114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO 00201885) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2013-08-14 |