| NPI | 1760801724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN TROMMETER Member, Orthodontist 720-420-4320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO 10541) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2014-04-07 |