| NPI | 1639815210 |
|---|---|
| Doing Business As | VILLAGE ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | CHAD HENDRICKS Credentialing 720-657-2053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2022-05-06 |