| NPI | 1700363579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD UNTERSEHER Owner 303-466-1955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 104908) |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2018-07-25 |