| NPI | 1639750151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY KING Financial COO Rdinator 303-744-1701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2021-04-16 |