| NPI | 1780928564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOANG NGUYEN President 303-652-7632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 9021) |
| Additional Taxonomies | 122300000X Dentist (Licence: CO 9021) |
| 122300000X Dentist (Licence: CO 10242) | |
| 1223G0001X Dentist, General Practice (Licence: CO 9021) | |
| 1223G0001X Dentist, General Practice (Licence: CO 10242) | |
| 1223P0300X Dentist, Periodontics (Licence: CO 9021) | |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2012-11-19 |