| NPI | 1518837376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN MICHAEL WHITE Orthodontist 970-889-9396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-11-07 |
| Last Update Date | 2025-11-07 |