| NPI | 1649437500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL J SMITH Principal/COO 303-888-7005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 105385) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 105385) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |