| NPI | 1760980197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON MARK ANGUS Owner/Dentist 720-220-1161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO 00202706) |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2018-01-31 |