| NPI | 1548009996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY HARDY Owner 720-900-3119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-05-23 |
| Last Update Date | 2024-05-23 |