| NPI | 1740433762 |
|---|---|
| Doing Business As | CRESTLINE DETNAL GROUP AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | CHARLES F RODGERS Owner Doctor 303-979-4227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2008-11-04 |