| NPI | 1548712912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY L SHEARER Owner 303-215-9949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 9489) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-01 |