| NPI | 1710871728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED STASI Owner/Orthodontist 303-594-6584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-06-04 |
| Last Update Date | 2025-06-04 |