| NPI | 1639244668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A URBANIAK Owner 303-978-1104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: CO 6546) |
| Additional Taxonomies | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: CO 105007) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2020-08-22 |