| NPI | 1710351481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREINN PARKER Director Of Operations 303-933-5339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 1223G0001X Dentist General Practice |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |