NPI | 1518264225 |
---|---|
Doing Business As | BENTELE ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | MARK JOSEPH BENTELE President 719-268-7138 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 9140) |
Enumeration Date | 2011-02-15 |
Last Update Date | 2011-02-15 |