| NPI | 1790013936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ROSS Orthodontist/Owner 303-994-4401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO 9671) |
| Enumeration Date | 2009-11-30 |
| Last Update Date | 2009-11-30 |