| NPI | 1730362054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA LASTER Insurance Coordinator 720-842-4544 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 8530) |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2021-07-21 |