| NPI | 1578782652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE MIGUEL ARANGO Owner 719-579-9773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 7905) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2008-08-21 |