| NPI | 1659783470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAFNE ELLIS Orthodontist 303-988-2780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: CO 201834) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2014-05-28 |