| NPI | 1649693383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER B ELTON President 303-364-6433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 192) |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2018-11-08 |