| NPI | 1528429073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMONTHY HARDY Owner/Orthodontist 970-980-2145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO DEN.00202742) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-03-11 |