NPI | 1740028455 |
---|---|
Doing Business As | GRIN ORTHODONTICS OF LAKEWOOD |
Entity Type | Organization |
Authorized Contact | COLTON FLAKE Managing Partner 720-579-8855 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2024-07-17 |
Last Update Date | 2024-07-19 |