| NPI | 1609183813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL GLENN SNOW President 719-597-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 10034) |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2010-09-09 |