| NPI | 1639568223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD E. UNTERSEHER Owner 303-466-1955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: CO 104908) |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2015-02-19 |