NPI | 1629567607 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT V LAW Owner 970-226-5505 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MO 2017035887) |
Enumeration Date | 2018-05-06 |
Last Update Date | 2018-05-06 |