| NPI | 1629217583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN BOHMAN Orthodontist 720-887-8357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 9599) |
| Enumeration Date | 2009-02-16 |
| Last Update Date | 2009-02-16 |